MELISSA MEMORIAL HOSPITAL (Holyoke, CO) prices

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published: assessment threshold met

●Gross / standard charges: assessment threshold met

●Discounted cash price: assessment threshold met

●Payer-specific negotiated rates: assessment threshold met

○Min / max negotiated charges: below assessment threshold

●Free, public, no login required: assessment threshold met

Procedures listed

4,689

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

File last updated: 2026-10-30 (per the hospital's file)

Retrieved: 2026-10-31

Most expensive procedures (gross)

6360002625_1

$286,502

INJECTION, VUTRISIRAN, 1 MG

Gross

$358,128

6360002695_1

$76,352

INJECTION, PEGLOTICASE, 1 MG

Gross

$95,440

6360001955_1

$42,772

INJECTION, OCRELIZUMAB, 1 MG

Gross

$53,465

391

$36,939

ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC

Gross

$46,174

2500003685_1

$25,986

PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY

Gross

$32,483

6360002650_1

$24,926

INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG

Gross

$31,158

913

$24,450

TRAUMATIC INJURY WITH MCC

Gross

$30,563

438

$24,311

DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC

Gross

$30,389

871

$23,872

SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC

Gross

$29,840

6360002265_1

$23,697

INJECTION, ATEZOLIZUMAB, 10 MG

Gross

$29,621

202

$23,180

BRONCHITIS AND ASTHMA WITH CC/MCC

Gross

$28,975

964

$23,132

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Gross

$28,915

6360002285_1

$23,009

INJECTION, LANREOTIDE, 1 MG

Gross

$28,761

6360000960_1

$22,674

LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG

Gross

$28,342

6360002630_1

$21,791

INJECTION, IPILIMUMAB, 1 MG

Gross

$27,239

3602742700_1

$21,120

Reconstruction of ligaments outside knee joint

Gross

$26,400

6360002515_1

$20,968

INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG

Gross

$26,210

093

$20,926

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Gross

$26,158

281

$20,713

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC

Gross

$25,892

812

$20,480

RED BLOOD CELL DISORDERS WITHOUT MCC

Gross

$25,600

292

$20,411

HEART FAILURE AND SHOCK WITH CC

Gross

$25,514

3602348500_1

$20,000

Incision or partial removal of collar bone with bone graft

Gross

$25,000

3602741500_1

$19,983

Implantation of donor cartilage cells into knee joint

Gross

$24,979

3602742800_1

$19,983

Reconstruction ligaments inside knee joint

Gross

$24,979

3602743700_1

$19,983

Repair of kneecap

Gross

$24,979

641

$19,691

MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC

Gross

$24,614

6360002635_1

$19,123

INJECTION, NIVOLUMAB, 1 MG

Gross

$23,904

3602829700_1

$18,983

Correction of bunion with forefoot and midfoot bone fusion

Gross

$23,729

6360002375_1

$18,852

INJECTION, LURBINECTEDIN, 0.1 MG

Gross

$23,565

6360000965_1

$18,706

LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG

Gross

$23,382

177

$18,670

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC

Gross

$23,337

6360002480_1

$18,572

INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG

Gross

$23,215

603

$18,094

CELLULITIS WITHOUT MCC

Gross

$22,617

293

$17,863

HEART FAILURE AND SHOCK WITHOUT CC/MCC

Gross

$22,328

189

$17,810

PULMONARY EDEMA AND RESPIRATORY FAILURE

Gross

$22,263

064

$17,742

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

Gross

$22,178

6360001220_1

$17,578

INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG

Gross

$21,973

640

$16,896

MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC

Gross

$21,120

3602347200_1

$16,766

Prosthetic repair of shoulder joint, total shoulder

Gross

$20,957

3602748700_1

$16,516

Revision of thigh and lower leg bone components of total knee joint prosthesis

Gross

$20,645

683

$16,392

RENAL FAILURE WITH CC

Gross

$20,490

598

$15,249

MALIGNANT BREAST DISORDERS WITH CC

Gross

$19,061

3602769800_1

$14,844

Secondary repair of disrupted collateral ligament of ankle

Gross

$18,555

065

$14,728

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

Gross

$18,410

3602342000_1

$14,410

Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone

Gross

$18,013

3601930700_1

$14,364

Removal of breast and underarm lymph nodes

Gross

$17,955

6360002475_1

$14,150

CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER

Gross

$17,688

3602355000_1

$14,056

Treatment of dislocated joint between collar bone and shoulder

Gross

$17,570

3602653600_1

$14,056

Replacement of finger joint with prosthesis

Gross

$17,570

3602741800_1

$14,000

Repair of upper end of shin bone at knee joint

Gross

$17,500

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6360002625_1	INJECTION, VUTRISIRAN, 1 MG	$358,128	$286,502	—	—	16
6360002695_1	INJECTION, PEGLOTICASE, 1 MG	$95,440	$76,352	—	—	17
6360001955_1	INJECTION, OCRELIZUMAB, 1 MG	$53,465	$42,772	—	—	17
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$46,174	$36,939	—	—	16
2500003685_1	PROTHROMBIN COMPLEX CONCENTRATE (HUMAN), KCENTRA, PER I.U. OF FACTOR IX ACTIVITY	$32,483	$25,986	—	—	17
6360002650_1	INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG	$31,158	$24,926	—	—	16
913	TRAUMATIC INJURY WITH MCC	$30,563	$24,450	—	—	16
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$30,389	$24,311	—	—	16
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$29,840	$23,872	—	—	16
6360002265_1	INJECTION, ATEZOLIZUMAB, 10 MG	$29,621	$23,697	—	—	17
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$28,975	$23,180	—	—	16
964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	$28,915	$23,132	—	—	16
6360002285_1	INJECTION, LANREOTIDE, 1 MG	$28,761	$23,009	—	—	17
6360000960_1	LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG	$28,342	$22,674	—	—	17
6360002630_1	INJECTION, IPILIMUMAB, 1 MG	$27,239	$21,791	—	—	17
3602742700_1	Reconstruction of ligaments outside knee joint	$26,400	$21,120	—	—	17
6360002515_1	INJECTION, PERTUZUMAB, TRASTUZUMAB, AND HYALURONIDASE-ZZXF, PER 10 MG	$26,210	$20,968	—	—	17
093	OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC	$26,158	$20,926	—	—	16
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$25,892	$20,713	—	—	16
812	RED BLOOD CELL DISORDERS WITHOUT MCC	$25,600	$20,480	—	—	16
292	HEART FAILURE AND SHOCK WITH CC	$25,514	$20,411	—	—	16
3602348500_1	Incision or partial removal of collar bone with bone graft	$25,000	$20,000	—	—	17
3602741500_1	Implantation of donor cartilage cells into knee joint	$24,979	$19,983	—	—	17
3602742800_1	Reconstruction ligaments inside knee joint	$24,979	$19,983	—	—	17
3602743700_1	Repair of kneecap	$24,979	$19,983	—	—	17
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$24,614	$19,691	—	—	16
6360002635_1	INJECTION, NIVOLUMAB, 1 MG	$23,904	$19,123	—	—	17
3602829700_1	Correction of bunion with forefoot and midfoot bone fusion	$23,729	$18,983	—	—	17
6360002375_1	INJECTION, LURBINECTEDIN, 0.1 MG	$23,565	$18,852	—	—	17
6360000965_1	LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG	$23,382	$18,706	—	—	17
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$23,337	$18,670	—	—	16
6360002480_1	INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG	$23,215	$18,572	—	—	17
603	CELLULITIS WITHOUT MCC	$22,617	$18,094	—	—	16
293	HEART FAILURE AND SHOCK WITHOUT CC/MCC	$22,328	$17,863	—	—	16
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$22,263	$17,810	—	—	16
064	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	$22,178	$17,742	—	—	16
6360001220_1	INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG	$21,973	$17,578	—	—	16
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$21,120	$16,896	—	—	16
3602347200_1	Prosthetic repair of shoulder joint, total shoulder	$20,957	$16,766	—	—	17
3602748700_1	Revision of thigh and lower leg bone components of total knee joint prosthesis	$20,645	$16,516	—	—	17
683	RENAL FAILURE WITH CC	$20,490	$16,392	—	—	16
598	MALIGNANT BREAST DISORDERS WITH CC	$19,061	$15,249	—	—	16
3602769800_1	Secondary repair of disrupted collateral ligament of ankle	$18,555	$14,844	—	—	17
065	INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	$18,410	$14,728	—	—	16
3602342000_1	Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone	$18,013	$14,410	—	—	17
3601930700_1	Removal of breast and underarm lymph nodes	$17,955	$14,364	—	—	17
6360002475_1	CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER	$17,688	$14,150	—	—	17
3602355000_1	Treatment of dislocated joint between collar bone and shoulder	$17,570	$14,056	—	—	17
3602653600_1	Replacement of finger joint with prosthesis	$17,570	$14,056	—	—	17
3602741800_1	Repair of upper end of shin bone at knee joint	$17,500	$14,000	—	—	17

Showing top 50 of 4,689 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.